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COVID-19 Lockdown Effects on Acute Stroke Care in Latin America

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dc.contributor.author Pujol Lereis, Virginia Andrea
dc.contributor.author Flores, Alan
dc.contributor.author Barboza, Miguel A.
dc.contributor.author Abanto Argomedo, Carlos
dc.contributor.author Amaya, Pablo
dc.contributor.author Bayona, Hernán
dc.contributor.author Bonardo, Pablo
dc.contributor.author Diaz Escobar, Luis
dc.contributor.author Gómez Schneider, Maia Macarena
dc.contributor.author Góngora Rivera, Fernando
dc.contributor.author Lavados, Pablo M.
dc.contributor.author León, Carolina
dc.contributor.author Luraschi, Adriana
dc.contributor.author Márquez Romero, Juan Manuel
dc.contributor.author Ouriques Martins, Sheila C.
dc.contributor.author Navia, Víctor Hugo
dc.contributor.author Ruíz Franco, Angélica
dc.contributor.author Vences, Miguel Ángel
dc.contributor.author Ameriso, Sebastián Francisco
dc.contributor.author Latin American Stroke rEgistry (LASE) COVID-19 Collaborators.
dc.date.accessioned 2021-07-28T14:42:56Z
dc.date.available 2021-07-28T14:42:56Z
dc.date.issued 2021-07-03
dc.identifier.citation Pujol-Lereis VA, Flores A, Barboza MA, Abanto-Argomedo C, Amaya P, Bayona H, Bonardo P, Diaz-Escobar L, Gomez-Schneider M, Góngora-Rivera F, Lavados PM, Leon C, Luraschi A, Marquez-Romero JM, Ouriques Martins SC, Navia VH, Ruiz-Franco A, Vences MÁ, Zurrú MC, Arauz A, Ameriso SF; Latin American Stroke rEgistry (LASE) COVID-19 Collaborators.. COVID-19 Lockdown Effects on Acute Stroke Care in Latin America. J Stroke Cerebrovasc Dis. 2021 Jul 3;30(9):105985. doi: 10.1016/j.jstrokecerebrovasdis.2021.105985 es_ES
dc.identifier.uri https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105985
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/549
dc.description.abstract Objectives COVID-19 pandemic has forced important changes in health care worldwide. Stroke care networks have been affected, especially during peak periods. We assessed the impact of the pandemic and lockdowns in stroke admissions and care in Latin America. Materials and Methods A multinational study (7 countries, 18 centers) of patients admitted during the pandemic outbreak (March-June 2020). Comparisons were made with the same period in 2019. Numbers of cases, stroke etiology and severity, acute care and hospitalization outcomes were assessed. Results Most countries reported mild decreases in stroke admissions compared to the same period of 2019 (1187 vs. 1166, p = 0.03). Among stroke subtypes, there was a reduction in ischemic strokes (IS) admissions (78.3% vs. 73.9%, p = 0.01) compared with 2019, especially in IS with NIHSS 0–5 (50.1% vs. 44.9%, p = 0.03). A substantial increase in the proportion of stroke admissions beyond 48 h from symptoms onset was observed (13.8% vs. 20.5%, p < 0.001). Nevertheless, no differences in total reperfusion treatment rates were observed, with similar door-to-needle, door-to-CT, and door-to-groin times in both periods. Other stroke outcomes, as all-type mortality during hospitalization (4.9% vs. 9.7%, p < 0.001), length of stay (IQR 1–5 days vs. 0–9 days, p < 0.001), and likelihood to be discharged home (91.6% vs. 83.0%, p < 0.001), were compromised during COVID-19 lockdown period. Conclusions In this Latin America survey, there was a mild decrease in admissions of IS during the COVID-19 lockdown period, with a significant delay in time to consultations and worse hospitalization outcomes. es_ES
dc.language.iso eng es_ES
dc.publisher Elsevier es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Stroke es_ES
dc.subject Accidente Cerebrovascular es_ES
dc.subject COVID-19 es_ES
dc.subject Latin America es_ES
dc.subject América Latina es_ES
dc.title COVID-19 Lockdown Effects on Acute Stroke Care in Latin America es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Pujol Lereis, Virginia Andrea. Fleni. Departamento de Neurología. Centro Integral de Neurología Vascular; Argentina.
dc.description.fil Fil: Flores, Alan. Hospital Universitari Joan XXIII; España.
dc.description.fil Fil: Barboza, Miguel A. Hospital Dr. Rafael Calderón Guardia; Costa Rica.
dc.description.fil Fil: Abanto Argomedo, Carlos. Instituto Nacional de Ciencias Neurológicas; Perú.
dc.description.fil Fil: Amaya, Pablo. Fundación Valle del Lili; Colombia.
dc.description.fil Fil: Bayona, Hernán. Hospital Universitario Fundación Santa Fe de Bogotá; Colombia.
dc.description.fil Fil: Bonardo, Pablo. Hospital Británico de Buenos Aires; Argentina.
dc.description.fil Fil: Diaz Escobar, Luis. Hospital de Clínicas; Paraguay.
dc.description.fil Fil: Gómez Schneider, Maia. Sanatorio de Los Arcos; Argentina.
dc.description.fil Fil: Góngora Rivera, Fernando. Universidad Autónoma de Nuevo León; México.
dc.description.fil Fil: Lavados, Pablo M. Clínica Alemana Universidad del Desarrollo; Chile.
dc.description.fil Fil: León, Carolina. Hospital Regional del ISSSTE "Dr. Valentín Gómez Farías"; México.
dc.description.fil Fil: Luraschi, Adriana. Hospital "Dr. Ignacio Pirovano"; Argentina.
dc.description.fil Fil: Márquez-Romero, Juan Manuel. Instituto Mexicano del Seguro Social; México.
dc.description.fil Fil: Ouriques Martins, Sheila C. Hospital Moinhos de Vento; Brasil.
dc.description.fil Fil: Navia, Víctor Hugo. Clínica Alemana Universidad del Desarrollo; Chile.
dc.description.fil Fil: Ruíz Franco, Angélica. Hospital Juárez; México.
dc.description.fil Fil: Vences, Miguel Ángel. Hospital Nacional Edgardo Rebagliati Martins; Perú.
dc.description.fil Fil: Ameriso, Sebastián Francisco. Fleni. Departamento de Neurología. Centro Integral de Neurología Vascular; Argentina.
dc.relation.ispartofVOLUME 30
dc.relation.ispartofNUMBER 9
dc.relation.ispartofPAGINATION 105985
dc.relation.ispartofCOUNTRY Estados Unidos
dc.relation.ispartofCITY Filadelfia
dc.relation.ispartofTITLE Journal of stroke and cerebrovascular diseases
dc.relation.ispartofISSN 1532-8511
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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